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CODY DERBY LAT, ATC
NPI 1518404557
Specialist/Technologist - Athletic Trainer in Lakeland, FL

Active since January 29, 2017
2301 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 413-4116 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 27, 2021, Jan 29, 2017 (2 updates tracked since 2017).

About Cody Derby Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY DERBY LAT, ATC (NPI 1518404557) is an individual athletic trainer provider in Lakeland, Florida, licensed in Florida (AL5128) and active in the NPI registry since January 2017. He maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1518404557
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameCODY DERBYCredential: LAT, ATC
Location Address2301 LAKELAND HILLS BLVDLakeland, FL 33805-2909
Mailing Address2301 Lakeland Hills BlvdLakeland, FL 33805-2909 · (863) 413-4116
Phone(863) 413-4116
Sole ProprietorNo
Enumeration DateJanuary 29, 2017
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1518404557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses✔ Licensed in FL · AL5128✔ Licensed in MO · 2017002382
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2301 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Secondary Practice Location 1

Location 14525 Downs Dr, ATTN: Sports MedicineSaint Joseph, MO 64507-2246 · Phone (816) 271-4597

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS WHEELER ATC
Specialist/Technologist (Athletic Trainer)
2301 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (816) 301-2689
HALEY LYN BROWN MAS, LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
2301 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (785) 221-0336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Derby's NPI number?

The NPI number for Cody Derby is 1518404557. It was assigned to this individual provider in the NPPES registry on January 29, 2017.

Where is Cody Derby located?

Cody Derby practices at 2301 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 413-4116.

What is Cody Derby's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Cody Derby was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.